All citations for Legacy at Herington

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Legacy at Herington

Last standard health inspection on record

October 31, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 26 to 50 of 96 citations

No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Widespread (many residents). CMS level F.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2023).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2023).
No harm, with potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Widespread (many residents). CMS level F.
Health citation F-0835, Administration Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2023).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Widespread (many residents). CMS level F.
Health citation F-0867, Administration Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2023).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2023).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
Widespread (many residents). CMS level F.
Health citation F-0881, Infection Control Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 5, 2023).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Meet other general requirements.
Widespread (many residents). CMS level F.
Fire safety citation K-0100, Construction Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (July 17, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2021).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2021).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2021).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of September 27, 2021. Found during a standard inspection.
The home gave a date the problem would be corrected (December 20, 2021).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.